Ukukhululwa okuvulekileyo kudityaniswe ne-distal radius fixation kunye nokulungiswa kwangaphandle okuxhomekeke kunyango lwe-e

Abstract

Injongo: Olu pho nonongo lujolise ekuphononongeni ukusebenza kotyando oluvulekileyo nolukhululayo oludityaniswe ne-distal radius fixation kunye nokulungiswa kwangaphandle okuxhomekeke kunyango lokuqina kwe-elbow.

Iindlela: Uphononongo olulawulwa ngokungahleliwe lweklinikhi lwenziwa ngo-Oktobha 2015. Izigulane ze-77 ezinobunzima be-elbow joint stiffness ezibangelwa yi-trauma zahlulwe ngokungaqhelekanga kwiqela lokujonga (n = 38) kunye neqela lokulawula (n = 39). Iqela lolawulo lafumana utyando lokukhululwa kwendabuko, ngelixa iqela lokujonga lafumana utyando oluvulekileyo oludityaniswe ne-distal radius fixation kunye nokulungiswa kwangaphandle okuxhomekeke. Idatha ngokubanzi, kubandakanywa ubulili, ubudala, imbangela yokulimala, uhlobo lokuxilongwa kokulimala kwasekuqaleni, ixesha lokulimala ukuya ekusebenzeni, ukuguqulwa kwangaphambili kunye nokwandiswa kwe-elbow joint, kunye ne-Mayo elbow joint function scores, zaqokelelwa kwaye zithelekiswa. Ukubuyiswa kokusebenza komdibaniso we-elbow kwavavanywa kusetyenziswa i-flexion kunye nemilinganiselo yokwandisa kunye nomgangatho wokuvavanya umsebenzi we-Mayo elbow.

Iziphumo: Iziqendu zamaqela omabini zaphilisa ngaphandle kweengxaki. Iqela lokujonga laline-1 imeko yokusuleleka kwintsholongwane ye-nail, i-2 iimeko zeempawu ze-nerve ye-ulnar, i-1 imeko ye-heterotopic ossification ye-elbow joint, kunye ne-1 imeko yeentlungu ezilinganayo kwi-elbow joint. Iqela lokulawula lalineemeko ze-2 zokusuleleka kwintsholongwane ye-nail, iimeko ze-2 zeempawu ze-nerve ye-ulnar, kunye neemeko ze-3 zentlungu ephakathi kwi-elbow joint. Ekulandeleni kokugqibela, uluhlu lwentshukumo ye-elbow joint flexion kunye nokwandiswa kunye nenqaku lomsebenzi we-Mayo elbow kuwo omabini amaqela aphuculwe kakhulu xa kuthelekiswa nangaphambi kokusebenza (P <0.05). Furthermore, the observation group had significantly greater improvements compared to the control group (P<0.05). According to the Mayo elbow function score evaluation, the observation group had an excellent and good rate of 97.4%, while the control group had an excellent and good rate of 84.6%. However, there was no significant difference in the excellent and good rates between the two groups (P=0.108).

Ukukhululwa okuvulekileyo kudityaniswe nokulungiswa kweradiyasi ye-distal kunye nokulungiswa kwangaphandle okuxhomekeke kwi-hinged ye-elbow stiffness kunokuphucula kakhulu ukusebenza kwe-elbow joint kunye nokubonelela ngeziphumo ezingcono kunotyando lokukhululwa kwendabuko.

Ukuqina kwe-elbow sisiphumo esiqhelekileyo sokwenzakala okukhulu kwi-elbow joint, okukhokelela kumonakalo kwi-collateral ligament kunye nezicubu ezithambileyo.

Ukukhululwa okuvulekileyo okudityaniswe nokulungiswa kwe-distal radius kunye nokulungiswa kwangaphandle okuxhomekeke kunyango lwe-distal radius fractures kunika indlela ebanzi kunye nesebenzayo yokubuyisela umsebenzi kunye nokuzinza kwi-wrist. Eli nqaku lijongana nemibuzo eqhelekileyo kunye neenkxalabo malunga nale ndlela yonyango.